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The Gustilo open fracture classification system is the most commonly used classification system for open fractures. It was created by Ramón Gustilo and Anderson, and then further expanded by Gustilo, Mendoza, and Williams. This system uses the amount of energy, the extent of soft-tissue injury and the extent of contamination for determination of fracture severity. Progression from grade 1 to 3C implies a hi…

Gustilo et al. demonstrated a 50% risk of osteomyelitis after such injuries, gusilowith amputation (early or late) a frequent outcome ( Gustilo et al. (1990) The management of open fractures. J Bone Joint Surg 72(2):299-304). This。

Gustilo-Anderson type 3 open fractures remain a veritable orthopedic challenge, even for surgeons with greater experience, because of neurovascular damages, high。

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